NO PERMIT NUMBERNo.
Lot No.
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. 7390
File No. 51231.1
Date 6/15/71 196
Application is hereby made for a permit to
Construct a 2 story, Type
to be occupied only as Single Family Dwelling
in accordance with Plat Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ 80.50 Plan Check $
26,000
Owner Shapell Industries Address 3000 Scott Blvd. S.C.
I Contr
Phone 247-3801
252-3831
v
Address
State License
169863
Approved W. D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
d
Date Dat196
FEE$
Cant r.
Address
��
Phone
State Licen a
Approved
APPLICATION FOR PLUMBING
& GAS PERMIT
Dote 196 71
GAS FEE $
PLUMBING FEE $ -S'b
nq-- �nn �/
Contr. —V
Address
Phone— 02 i�i�— o.Z 5z�0
State License
6 r
Approved
e1 .APPLICATION FOR APPLIANCE
ERMIT
DateX196 2-//
FEE$
/
Contr.
Address
Phone - ��� ..71 4T 1
State License
� 'I
Applicants agree not to violate anyjof the
Approved llzo&�i
,(G
Workman's Compensation Laws of the
State of California `
RECORD OF INSPECTION APPROVALS
//. qkw7/z r
ELECTRICAL
INSV CTOR
UNDERGROUND VG(r
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
DATE
BUILDING
INSPECTOR
PAD FINAL
�'
-�
FOUNDATION
UNDERFLOOR-
NDERFLOORFRAMELATH
FRAME-
LATH& PLASTER
GRADING FINAL
y
^
FINAL BLDG.
ELECTRICAL
INSV CTOR
UNDERGROUND VG(r
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
'
(
�'
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REQ._
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH _/
ROUGH COMPLETE
MAIN DRAIN
I
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
To
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
You are hereby aut4qrV
Owner or Tenant ... - `7:�
At.........
I No. of Wires ...................
OFFkCE copy
to connect e*trical
Wires .....
.............. . ...............
Size of Switch
Motor Load .......... ............... Voltage .......... .... ......... ...... Phase . . ........ --- ........ .....
Heating Load .. ......... ............ K. W. ...... Voltage ........ .........
No. of Meters......... (Light--- ./,1111/... New Ser,ic, ..... Re'unnect.— .....
Heat... .......... -- 220 ..... <.-
No. of Add. Meters............ I— Wir .......... ..... Nfo,c Senic,.... .... ..
Power ............. Phi M ... v
........................................
ELECIRICAL
J/�
p
Bldg. Dept.
Office Copy
BUILDING
INSPECTOR'S OFFICE
CITY OF CUPERTINO
,rf
Sewer Connection
Sanitary Permit No--------3-IRd.........
Plumbing Final
Plumbing Permit No.
51ia..3 ;—/------
%1 n
Lot No. ...........
............
Owner or Tenant
At
Tract
DateConnected ---- -.7 �................................................................. 19.... ....
Date Final--.:---�..- J. ------r/.
.................��-.... -----------------
PLUMBING INSPECTOR
70
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
0-
.............. ................ . ..................9fl/.
To
You are hereby au orized to connect the GAS service for
Owner or Tenant . ...... . .... ... ............
At ... loo-a..q
......... ................................... .....................................
New Service ...................
No. of Meters ........./............
Reconnect .................
Move Service .......................
No. of Add. Meters .............. Move Meter, - .............
.......................
PLUMBING INSPECTOR
ROUTE SLIP `!
File No.
// Date
Locatiorz�7`i�/��c
Subject �j/y,5, c-7,:
Notes
Approve�0—/
Date Inspector